A Study on the Predictive Factors of Sexual Function in Women with Gynecologic Cancer

Jeong Sook Park; Soon Yang Jang

doi:10.5388/aon.2012.12.2.156

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Park and Jang: A Study on the Predictive Factors of Sexual Function in Women with Gynecologic Cancer

Original Article

Asian Oncology Nursing

Asian Oncology Nursing 2012; 12(2): 156-165.

Published online: 30 June 2012

DOI: https://doi.org/10.5388/aon.2012.12.2.156

A Study on the Predictive Factors of Sexual Function in Women with Gynecologic Cancer

Jeong Sook Park¹, Soon Yang Jang²

¹College of Nursing, Keimyung University, Daegu, Korea.

²Department of Nursing, College of Health, Kyungwoon University, Gumi, Korea.

Address reprint requests to: Jang, Soon Yang. Department of Nursing, College of Health, Kyungwoon University, 730 Gangdong-ro, Sandong-myeon, Gumi 730-739, Korea. Tel: +82-54-479-1383, Fax: +82-54-479-1382, yang0212@ikw.ac.kr

Received 8 May 2012 Accepted 8 June 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was to identify predictors of sexual function in gynecologic cancer patients.

Methods

The participants were 154 patients treated at a university medical center in A city, Korea. The data collection was performed through a structured questionnaire from July to December, 2010. The instruments used in this study were Female Sexual Function Index (FSFI) perceived health status scale, Eastern Cooperative Oncology Group (ECOG) performance status, body image, and depression. Data were analyzed using descriptive statistics, Mann-Whitney test, Kruskal-Wallis test and stepwise multiple regression with the SPSS 18.0.

Results

The mean score of perceived health status was 8.42 and sexual function was 8.42. The lowest score among sexual function was lubrication. The scores of sexual function was significantly different by age, job, marital status, period after diagnosis of cancer and diagnosis. There were significant correlations between sexual function, perceived health status, ECOG performance, body image and depression. In multiple regression analysis, predictors were identified as ECOG performance, age, diagnosis and period after diagnosis of cancer (Adj.R²=.28). The most powerful predictor of female sexual function was ECOG performance (19.0%).

Conclusion

The above findings indicate that it is necessary to develop a more effective and personalized sexual function improvement program for gynecologic cancer patient.

Keywords: Gynecologic Cancer, Sexual Function, ECOG Performance Status

Figures and Tables

Table 1

Female Sexual Function Index According to General Characteristics of Gynecological Cancer Patients (N=154)

Table 2

Female Sexual Function Index According to Disease & Treatment Characteristics of Gynecological Cancer Patients (N=154)

^*Laparoscopic hysterectomy+laparoscopic radical hysterectomy or laparoscopic salpingectomy et al.; ^†CCRT=concurrent chemoradiotherapy; ^‡Chemotherapy/chemotherapy+radiation/surgery+chemotherapy+radiation/surgery or chemotherapy or radiation+CCRT+hormone therapy/surgery or chemotherapy or radiation+ hormone therapy.

Table 3

Physiological, Psychological Factors and Female Sexual Function Index of Gynecological Cancer Patients (N=154)

Table 4

Correlation of Female Sexual Function and Related Variables (N=154)

Table 5

Factors Predicting Sexual Function in Women with Gynecologic Cancer (N=154)

Adj.R²=adjusted R²; ^*Dummy variables.

References

1. National Cancer Information Center. Cancer Fact and Figures. accessed on 10 June 2012. Available at: http://www.cancer.go.kr/ncic/cics_g/cics_g02/cics_g027/1649336_6065.html.

2. Lee HP. Recent Clinical Review: Annual report of gynecologic cancer registry program in Korea: 1991-2004. Korean J Obstet Gynecol. 2008. 51:1411–1420.

3. Bergmark K, Avall-Lundqvist E, Dickman PW, Henningsohn L, Steineck G. Vaginal changes and sexuality in women with a history of cervical cancer. N Engl J Med. 1999. 340:1383–1389.

4. Kim JW, Chung HH, Kang SB. Issues related to long-term gynecological cancer survivors. Korean J Obstet Gynecol. 2006. 49:997–1006.

5. Jensen PT, Groenvold M, Klee MC, Thranov I, Peterson MA, Machin D. Longitudinal study of sexual function and vaginal changes after radiotherapy for cervical cancer. Int J Radiat Oncol Biol Phys. 2003. 56:937–949.

6. Park MS. The relationship of the perceived health status with somatic symptoms, family related stress, spousal support and sexual satisfaction in the middle aged women. J Korean Acad Psychiatr Ment Health Nurs. 2002. 11:33–42.

7. Carmack Taylor CL, Basen-Engquist K, Shinn EH, Bodurka DC. Predictors of sexual functioning in ovarian cancer patients. J Clin Oncol. 2004. 22:881–889.

8. Kim SN. A structural model for quality of life in women having hysterectomies. J Korean Acad Nurs. 1999. 29:161–173.

9. Chang SB. An analytic study on influencing factors for sexual satisfaction in women who have had a hysterectomy [dissertation]. 1989. Seoul: Ewha Womans Univ..

10. Chun NA. Structural equation modeling on sexual function in women with gynecologic cancer. J Korean Acad Nurs. 2008. 38:639–649.

11. Lawton MP, Moss M, Fulcomer M, Kleban MH. A research and service oriented multilevel assessment instrument. J Gerontol. 1982. 37:91–99.

12. Kim HJ, Park YS. Determinants of health promoting behavior in the elderly. J Korean Acad Fundam Nurs. 1997. 4:283–300.

13. Park JS, Oh YJ. An analysis of cancer symptoms, perceived health status, and given nursing services for community dwelling cancer patients who are registered in a public health center. J Korean Oncol Nurs. 2010. 10:48–58.

14. Gwak MD, Suh SY. The assessment tools in palliative medicine. Korean J Hosp Palliat Care. 2009. 12:177–193.

15. Jeong GH. Body image and depression in post-hystrectomy patients [dissertation]. 1988. Seoul: Ewha Womans Univ..

16. Derogatis LR, Cleary PA. Factorial invariance across gender for the primary symptom dimensions of the SCL-90-R. Br J Soc Clin Psychol. 1977. 16:347–356.

17. Kim JH, Kim KI. The standardization study of symptom Checklist-90-Revision in Korea III. Ment Health Res. 1984. 2:279–311.

18. Rosen R, Brown C, Heiman J, Leibllum S, Meston C, Shabsigh R, et al. The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000. 26:191–208.

19. Kim HY, Park KS, Jung SJ, Lee JY, Ryu SB. Development of the Korean-version of Female Sexual Function Index (FSFI). Korean J Androl. 2002. 20:50–56.

20. Chun N, Park YS. Sexual functioning in women with gynecologic cancer. Korean J Women Health Nurs. 2006. 12:308–315.

21. Lee BY, Jo HS, Kwon MS. Survey on quality of life, mental health and subjective health status of community dwelling cancer patients. J Korean Acad Public Health Nurs. 2010. 24:49–60.

22. Park YS, Han KJ, Hah YS, Song MS, Kim SJ, Chung CW, et al. Effects of telephone counseling on health and service satisfaction after discharge in gynecologic cancer women. J Korean Acad Soc Nurs Educ. 2008. 14:294–304.

23. Kim YH, Lee JH. Relationships between side effects, depression and quality of sleep in gynecological caner patients undergoing chemotherapy. Korean J Women Health Nurs. 2010. 16:276–287.

24. Lee EM. A Study of medical service utilization in patient with depression undergoing mastectomy and hysterectomy [dissertation]. 2009. Seoul: Korea Univ..

25. Wiegel H, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005. 31:1–20.

26. Kim SH, Jun EY, Lee WH. The factors influencing depression in patients with breast cancer. J Korean Oncol Nurs. 2006. 6:133–142.

27. Chun NM. Predictors of sexual desire, arousal, lubrication, orgasm, satisfaction, and pain in women with gynecologic cancer. J Korean Acad Nurs. 2010. 40:24–32.

28. Kim HY, So HS, Chae MJ. Sexual function of breast cancer survivors and healthy women: a comparative study. J Korean Oncol Nurs. 2009. 9:60–66.

29. Greimel ER, Freidl W. Functioning in daily living and psychological well-being of female cancer patients. J Psychosom Obstet Gynaecol. 2000. 21:25–30.

30. Stewart DE, Wong F, Duff S, Melancon CH, Cheung AM. What dosen't kill you makes you stronger: an ovarian cancer survivor survey. Gynecol Oncol. 2001. 83:537–542.

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